Provider Demographics
NPI:1194892588
Name:ALL FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:ALL FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRACTISING DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:UNETICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-856-0400
Mailing Address - Street 1:621 LONG RD
Mailing Address - Street 2:
Mailing Address - City:PENN HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4306
Mailing Address - Country:US
Mailing Address - Phone:412-856-0400
Mailing Address - Fax:412-242-2243
Practice Address - Street 1:621 LONG RD
Practice Address - Street 2:
Practice Address - City:PENN HILLS
Practice Address - State:PA
Practice Address - Zip Code:15235-4306
Practice Address - Country:US
Practice Address - Phone:412-856-0400
Practice Address - Fax:412-242-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007154L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA011061Other976351
PA01701412Medicaid
PAU72290Medicare UPIN
PA01701412Medicaid